College of Physical Education, Shanghai Normal University, Shanghai, 200234, China.
Department of Sports, Donghua University, Shanghai, 201600, China.
BMC Pregnancy Childbirth. 2023 Apr 26;23(1):293. doi: 10.1186/s12884-023-05629-y.
This study aimed to examine the effect of exercise intervention for antenatal depression using meta-analysis and to propose the best exercise intervention program.
Review Manager 5.3 was used to analyze 17 papers with 2224 subjects by setting five moderators, including type, time, frequency, period, and format of exercise intervention, and a random-effects model was used to test for overall effect, heterogeneity, and publication bias.
(1) The effect size of the exercise intervention on antenatal depression was d = -0.56, which reached a good effect and was statistically significant; b (2) The effect size of the exercise type on antenatal depression was Yoga and a combination of aerobic exercise in order of intervention; (3) the single intervention duration of 10-75 min all had a good effect on antenatal depression, and 30-60 min had the best effect; (4) the intervention frequency of 3 to 5 times/week had the greatest amount of intervention effect on maternal depression; (5) exercise lasting 6-10 weeks had a good intervention effect on antepartum depression, and the amount of effect decreased gradually with the extension of time; (6) In terms of exercise format, the amount of intervention effect on maternal depression was in the order of group exercise, individual + group exercise.
Exercise intervention can significantly alleviate antenatal depression symptoms. The best exercise program for exercise intervention for antenatal depression is: Yoga and a combination of aerobic exercise intervention effects are more prominent, and the intervention effect of Yoga is the best. The use of group exercise 3-5 times per week for 30-60 min for 6-10 weeks was more likely to achieve the desired intervention effect of improving antenatal depression.
本研究旨在通过荟萃分析探讨运动干预对产前抑郁的效果，并提出最佳的运动干预方案。
采用 Review Manager 5.3 对纳入的 17 篇文献 2224 例研究对象进行分析，设置运动干预类型、时间、频率、周期、形式 5 个调节变量，采用随机效应模型检验总效应、异质性和发表偏倚。
（1）运动干预对产前抑郁的效应量为 d=-0.56，达到了良好的效果且具有统计学意义；（2）运动类型对产前抑郁的效应量依次为瑜伽和有氧运动相结合；（3）单一干预时长 10-75 min 均对产前抑郁有较好的效果，其中 30-60 min 效果最佳；（4）干预频率 3-5 次/周对产妇抑郁的干预效果最大；（5）运动时长 6-10 周对产前抑郁有较好的干预效果，随着时间的延长效果逐渐减弱；（6）在运动形式方面，对产妇抑郁的干预效果依次为团体运动、个体+团体运动。
运动干预能显著缓解产前抑郁症状。运动干预治疗产前抑郁的最佳运动方案为：瑜伽和有氧运动相结合，瑜伽的干预效果更突出，团体运动 3-5 次/周、每次 30-60 min、持续 6-10 周更易达到改善产前抑郁的理想干预效果。
